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Individual

DR. STEPHEN WAYNE KONCSOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
134 S DIXIE HWY STE 104, HALLANDALE BEACH, FL 33009-5423
(305) 653-0098
Mailing address
13200 SW 32ND CT, DAVIE, FL 33330-4603
(954) 682-9728

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2754
FL

Other

Enumeration date
08/08/2006
Last updated
10/03/2023
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